Michael S Lee (NPI# 1215932033, PAC ID# 1355308636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1215932033 |
| PAC ID by PECOS | 1355308636 |
| Professional Enrollment ID | I20041217000855 |
| Full Name | Michael S Lee |
| Organization Legal Name | RETINA NORTHWEST PC |
| Address |
725 S Wahanna Rd Suite 101 Seaside OR 97138-7735 |
| Phone Number | 5032742121 |
| Gender | M |
| Credential | MD |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1254234784 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5440 Sw Westgate Dr, Suite 217, Portland, OR 97221-2421 | 5032742121 | RETINA NORTHWEST PC |
| 9135 Sw Barnes Rd, Suite 661, Portland, OR 97225-6683 | 5032742121 | RETINA NORTHWEST PC |
| 725 S Wahanna Rd, Suite 101, Seaside, OR 97138-7735 | 5032742121 | RETINA NORTHWEST PC |
| 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 | 5032742121 | RETINA NORTHWEST PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | RETINA NORTHWEST PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Apurva K Patel | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Colin Ma | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Richard F Dreyer | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Mark A Peters | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Paul S Tlucek | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Wenlan Zhang | Ophthalmology | Retina Northwest PC | 725 S Wahanna Rd, Suite 101, Seaside, OR 97138-7735 |
| Street Address |
725 S WAHANNA RD SUITE 101 |
| City | SEASIDE |
| State | OR |
| Zip | 97138-7735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale J Veith | Psychologist, Clinical | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Kyle D Rodgers | Certified Registered Nurse Anesthetist (crna) | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Michael P Adler | Obstetrics/gynecology | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Mathew S Greenberg | Pathology | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Amanda L Washington | Physician Assistant | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Melissa K Li | Pathology | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Xiaohong Cai | Pathology | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Jeffrey D Harter | Pathology | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Jennifer Shannon Haag | Nurse Practitioner | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| James J Wilkinson | Certified Registered Nurse Anesthetist (crna) | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Vander Waal | Internal Medicine | 3619 Hwy 101 N, Pacific Medical and Surgical Group, Gearhart, OR 97138-4321 | |
| Theodosia A Woods | Chiropractic | 1289 Pacific Way, Gearhart, OR 97138-4360 | |
| Arne D Otness | Chiropractic | 1500 S Roosevelt Dr, Seaside, OR 97138-6512 | |
| Edwin C Gibbs | Chiropractic | 45 N Holladay Dr, Seaside, OR 97138-6839 | |
| Mary A Gibbs | Chiropractic | Gibbs Natural Healing Centre PC | 45 N Holladay Dr, Seaside, OR 97138-6839 |
| James M Martinson Jr. | Internal Medicine | Providence Health and Services Oregon | 727 S Wahanna Rd, 101 Prov St Vn Hr Cl Car, Seaside, OR 97138-7735 |
| Sharyl Magnuson Boyle | Family Medicine | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Alfred Brooke Benz | Orthopedic Surgery | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Kathryn Suarez | Nurse Practitioner | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Debra Kaye White | Nurse Practitioner | Providence Health and Services Oregon | 725 S Wahanna Rd, Seaside, OR 97138-7735 |
| Find all physicians in zip 97138 | |||
| City | SEASIDE |
| Zip Code | 97138 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SEASIDE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Michael S Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.